The combined use of corticotomy and clear aligners: a case report

OBJECTIVE:   To describe an orthodontic treatment that combines an esthetic approach (clear aligners) with surgery (alveolar corticotomy). MATERIALS AND METHODS:   A patient with moderate dental crowding and Class I skeletal and molar relationships was selected. Orthodontic records of the patient were taken. Periodontal indexes, oral health-related quality of life (OHRQoL), and treatment time were evaluated. After we reflected a full-thickness flap beyond the teeth apices, the cortical bone was exposed on the buccal aspect and a modified corticotomy procedure was performed. Interproximal corticotomy cuts were extended through the entire thickness of the cortical layer, just barely penetrating into medullary bone. Orthodontic force was applied on the teeth immediately after surgery. RESULTS:   Total treatment time was 2 months. Periodontal indexes were improved after correction of crowding. A deterioration of OHRQoL was limited to 3 days following surgery. CONCLUSION:   This case report may encourage the use, limited to selected cases, of corticotomy associated with clear aligners to treat moderate crowding.